Individual provider · Type 1 NPI

Dylan Austin Green

Mental Health Counselor · Puyallup, WA

NPI number 1972349082 Active

Practice location

325 E Pioneer
Puyallup, WA 98372-3265

Mailing address

102 23rd Ave SW Apt A201
Puyallup, WA 98371-7876

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972349082

Dylan Austin Green's National Provider Identifier is 1972349082, issued on Jul 8, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Puyallup, WA. The record was last updated on Jul 8, 2024.